Compliance Auditor

Compass Health Network; Clinton (MO); Remote; USD 20,000 - 29,000; Full time

Job summary

Compass Health Network is seeking a Compliance Auditor to strengthen documentation quality and support compliant, high-impact care across the communities served. The role is remote for Missouri residents and involves auditing clinical documentation to ensure accuracy and regulatory compliance.

You will work with clinical, finance, and operational teams to educate, trend analyze, and improve systems and processes that support patient care and organizational excellence.

Qualifications

• High School/GED required.
• At least 1 year of medical terminology preferred.
• Experience collaborating with diverse groups in a healthcare environment.
• Familiarity with government healthcare reimbursement systems.
• Experience with ICD-10, CPT coding; Excel is a plus.

Responsibilities

• Audits service documentation for completeness, accuracy and compliance.
• Uses audit tool software to conduct audits and document findings.
• Collaborates with internal audit staff on joint projects and improves audit processes.
• Educates providers on audit findings with clear communication.
• Analyzes anomalies and escalates findings for review.
• Applies regulatory requirements and dual-program audit procedures.
• Follows established efficiency standards and reports to Audit Services leadership.
• Meets with Compliance and Audit leadership to discuss findings and priorities.
• Assesses impact of changes on audit processes and mitigates risks.
• Collaborates with Patient Accounting on claim denials and reimbursement discrepancies.
• Monitors documentation trends and reports findings to relevant personnel.
• Delivers follow-up education on clinical documentation improvement.
• Reviews ICD-10 and CPT coding for accuracy and compliance.
• Extracts and analyzes reports from EHR systems for auditing and monitoring.
• Performs other duties as assigned.

Skills

Medical terminology

Team collaboration

Government reimbursement systems

ICD-10 and CPT coding

Excel proficiency

Education

High School/GED

Tools

EHR auditing tools

Job description

Compliance Auditor

Department: Compliance

Employment Type: Full Time

Location: Any Compass Location

Compensation: $17.89 / hour

Description

Help strengthen documentation quality and support compliant, high-impact care across the communities we serve.

*Remote position open to Missouri residents only.

The Compliance Auditor plays an important role in supporting clinical documentation accuracy, regulatory compliance, and continuous quality improvement across the organization. This position partners with clinical, finance, and operational teams to audit documentation, identify trends, provide education, and help ensure services are documented in a way that supports quality care, compliance standards, and accurate reimbursement.

This is a great opportunity for someone who enjoys problem-solving, analyzing data and trends, collaborating across departments, and helping improve systems and processes that support patient care and organizational excellence.

Key Responsibilities

• Audits service documentation for completeness, accuracy and compliance with payer requirements
• Utilizes audit tool software to conduct audits, document findings and support audit activities
• Collaborates with internal audit staff on joint projects and identifies and communicates opportunities to improve audit processes
• Educates providers on audit findings and communicates results clearly, concisely and accurately
• Analyzes anomalies identified through audit processes and escalates findings for further review as appropriate
• Applies program-specific regulatory requirements and dual-program audit procedures when conducting audits
• Performs audit activities in accordance with established efficiency standards and expectations set by Audit Services leadership
• Meets regularly with Compliance and Audit leadership to discuss audit findings, processes, priorities and opportunities for improvement
• Evaluates the impact of clinical and operational changes on audit processes and implements or recommends actions to mitigate identified risks
• Participates in the review and resolution of claim rejections and reimbursement discrepancies in collaboration with Patient Accounting to support accurate reimbursement and regulatory compliance
• Monitors documentation trends, identifies potential deficiencies and compliance concerns, and reports findings to appropriate personnel
• Conducts follow-up clinical documentation improvement education based on audit findings and results
• Reviews medical codes using ICD-10 and CPT coding systems to assess coding accuracy and compliance with applicable requirements
• Extracts and analyzes reports from applicable electronic health record (EHR) systems to support auditing, monitoring and reporting activities
• Performs other duties as assigned

Requirements, Skills, Knowledge and Expertise

• High School/GED required
• At least one (1) year of medical terminology preferred
• Must have experience working collaboratively with diverse groups in a healthcare environment
• Must be familiar with government healthcare reimbursement systems
• Experience in ICD, DSM V, and Excel preferred

You’ll be a great fit for this role if you:

• Are detail-oriented and highly organized, with the ability to manage multiple priorities effectively
• Enjoy working both independently and collaboratively to improve processes and outcomes
• Can interpret data and identify patterns that support compliance and operational improvement
• Communicate clearly and professionally with clinical and administrative teams
• Value accuracy, accountability, and continuous learning in a healthcare environment
• Are passionate about supporting quality care and strengthening services for rural communities through strong documentation and compliance practices